Puffingly is a descriptor used to describe something done with effort and difficulty. There are many other synonyms that can be used to convey the same meaning. Some alternatives include laboriously, strenuously, arduously, exertively, and exertingly. Other options include exerting, toiling, streaming, and struggling. These words help to paint a vivid picture of the hard work and effort that goes into achieving something, whether it be physical exertion or mental effort. By using various synonyms, a writer can add variety to their language and create a more engaging and dynamic piece of writing. In conclusion, there are many synonyms available to express the same concept as puffingly.